Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland
Drug use for or during sex (‘chemsex’) among MSM has caused concern, because of the direct effects of the drugs themselves, and because of an increased risk of transmission of sexually transmitted infections (STIs). This study aimed to assess the prevalence of chemsex, associated behaviours and STIs...
Gespeichert in:
Veröffentlicht in: | The International journal of drug policy 2018-02, Vol.52, p.9-15 |
---|---|
Hauptverfasser: | , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 15 |
---|---|
container_issue | |
container_start_page | 9 |
container_title | The International journal of drug policy |
container_volume | 52 |
creator | Glynn, Ronan W. Byrne, Niamh O’Dea, Siobhan Shanley, Adam Codd, Mary Keenan, Eamon Ward, Mary Igoe, Derval Clarke, Susan |
description | Drug use for or during sex (‘chemsex’) among MSM has caused concern, because of the direct effects of the drugs themselves, and because of an increased risk of transmission of sexually transmitted infections (STIs). This study aimed to assess the prevalence of chemsex, associated behaviours and STIs among attendees at Ireland’s only MSM-specific sexual health clinic in Dublin over a six week period in 2016.
The questionnaire collected demographic data, information on sexuality and sexual practice, self-reported history of treatment for STIs, and chemsex use. Key variables independently associated with treatment for STIs over the previous 12 months were identified using multivariable logistic regression.
The response rate was 90% (510/568). One in four (27%) reported engaging in chemsex within the previous 12 months. Half had taken ≥2 drugs on his last chemsex occasion. One in five (23%) reported that they/their partners had lost consciousness as a result of chemsex. Those engaging in chemsex were more likely to have had more sexual partners(p |
doi_str_mv | 10.1016/j.drugpo.2017.10.008 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1975596138</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0955395917303286</els_id><sourcerecordid>1975596138</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-7d9737962dfb45b0ea482505d34e259a756894bf6d2dd1e2860f90a23a7808353</originalsourceid><addsrcrecordid>eNp9kUtv1DAUhS1ERYfCP0DIEhsWzdTP2N4gVcOrUqVuYG058U3HQ2IPdtLSf4-HKSxYdGXp-Dv3Xp2D0BtK1pTQ9mK39nm53ac1I1RVaU2IfoZWVCveCCX1c7QiRsqGG2lO0ctSdoQQQQV9gU6ZYYyrlq5Q2mxhKvDrHOdQfuAOtu4upCUX7KLH9WNx4_iA5-ximcI8g8chDtDPIcXKTCne4gkivt8mXK1wsOD7MG__qCHij0s3hniOrzKMdeQrdDK4scDrx_cMff_86dvma3N98-Vqc3nd9NyQuVHeKK5My_zQCdkRcEIzSaTnApg0TslWG9ENrWfeU2C6JYMhjnGnNNFc8jP0_jh3n9PPBcpsp1B6GOsNkJZiqVFSmpZyXdF3_6G7GkCs11lGJOdECiUqJY5Un1MpGQa7z2Fy-cFSYg-F2J09FmIPhRzUWki1vX0cvnQT-H-mvw1U4MMRgJrGXYBsSx8g9uBDrjFbn8LTG34Dr8-dlg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2053305474</pqid></control><display><type>article</type><title>Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland</title><source>MEDLINE</source><source>PAIS Index</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Access via ScienceDirect (Elsevier)</source><creator>Glynn, Ronan W. ; Byrne, Niamh ; O’Dea, Siobhan ; Shanley, Adam ; Codd, Mary ; Keenan, Eamon ; Ward, Mary ; Igoe, Derval ; Clarke, Susan</creator><creatorcontrib>Glynn, Ronan W. ; Byrne, Niamh ; O’Dea, Siobhan ; Shanley, Adam ; Codd, Mary ; Keenan, Eamon ; Ward, Mary ; Igoe, Derval ; Clarke, Susan</creatorcontrib><description>Drug use for or during sex (‘chemsex’) among MSM has caused concern, because of the direct effects of the drugs themselves, and because of an increased risk of transmission of sexually transmitted infections (STIs). This study aimed to assess the prevalence of chemsex, associated behaviours and STIs among attendees at Ireland’s only MSM-specific sexual health clinic in Dublin over a six week period in 2016.
The questionnaire collected demographic data, information on sexuality and sexual practice, self-reported history of treatment for STIs, and chemsex use. Key variables independently associated with treatment for STIs over the previous 12 months were identified using multivariable logistic regression.
The response rate was 90% (510/568). One in four (27%) reported engaging in chemsex within the previous 12 months. Half had taken ≥2 drugs on his last chemsex occasion. One in five (23%) reported that they/their partners had lost consciousness as a result of chemsex. Those engaging in chemsex were more likely to have had more sexual partners(p<0.001), more partners for anal intercourse (p<0.001) and to have had condomless anal intercourse(p=0.041). They were also more likely to report having been treated for gonorrhoea over the previous 12 months (adjusted OR 2.03, 95% CI 1.19–3.46, p=0.009). One in four (25%) reported that chemsex was impacting negatively on their lives and almost one third (31%) reported that they would like help or advice about chemsex.
These results support international evidence of a chemsex culture among a subset of MSM. They will be used to develop an effective response which simultaneously addresses addiction and sexual ill-health among MSM who experience harm/seek help as a consequence of engagement in chemsex.</description><identifier>ISSN: 0955-3959</identifier><identifier>EISSN: 1873-4758</identifier><identifier>DOI: 10.1016/j.drugpo.2017.10.008</identifier><identifier>PMID: 29223761</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Addictions ; Adolescent ; Adult ; Anal intercourse ; Chemsex ; Consciousness ; Data analysis ; Data collection ; Drug abuse ; Drug policy ; Drug use ; Drugs ; Gonorrhea ; Gonorrhoea ; HIV ; Homosexuality ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Human immunodeficiency virus – HIV ; Humans ; Ireland - epidemiology ; Logistic Models ; Male ; Men who have sex with men ; Men who have sex with men – MSM ; Prevalence ; Questionnaires ; Response rates ; Risk behavior ; Risk-Taking ; Sexual and Gender Minorities - statistics & numerical data ; Sexual behavior ; Sexual Behavior - statistics & numerical data ; Sexual health ; Sexual Partners ; Sexuality ; Sexually transmitted diseases ; Sexually Transmitted Diseases - epidemiology ; Sexually transmitted infections ; Social networks ; STD ; Substance-Related Disorders - epidemiology ; Surveys and Questionnaires ; Unsafe Sex - statistics & numerical data ; Young Adult</subject><ispartof>The International journal of drug policy, 2018-02, Vol.52, p.9-15</ispartof><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Feb 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-7d9737962dfb45b0ea482505d34e259a756894bf6d2dd1e2860f90a23a7808353</citedby><cites>FETCH-LOGICAL-c390t-7d9737962dfb45b0ea482505d34e259a756894bf6d2dd1e2860f90a23a7808353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugpo.2017.10.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27871,27929,27930,31004,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29223761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Glynn, Ronan W.</creatorcontrib><creatorcontrib>Byrne, Niamh</creatorcontrib><creatorcontrib>O’Dea, Siobhan</creatorcontrib><creatorcontrib>Shanley, Adam</creatorcontrib><creatorcontrib>Codd, Mary</creatorcontrib><creatorcontrib>Keenan, Eamon</creatorcontrib><creatorcontrib>Ward, Mary</creatorcontrib><creatorcontrib>Igoe, Derval</creatorcontrib><creatorcontrib>Clarke, Susan</creatorcontrib><title>Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland</title><title>The International journal of drug policy</title><addtitle>Int J Drug Policy</addtitle><description>Drug use for or during sex (‘chemsex’) among MSM has caused concern, because of the direct effects of the drugs themselves, and because of an increased risk of transmission of sexually transmitted infections (STIs). This study aimed to assess the prevalence of chemsex, associated behaviours and STIs among attendees at Ireland’s only MSM-specific sexual health clinic in Dublin over a six week period in 2016.
The questionnaire collected demographic data, information on sexuality and sexual practice, self-reported history of treatment for STIs, and chemsex use. Key variables independently associated with treatment for STIs over the previous 12 months were identified using multivariable logistic regression.
The response rate was 90% (510/568). One in four (27%) reported engaging in chemsex within the previous 12 months. Half had taken ≥2 drugs on his last chemsex occasion. One in five (23%) reported that they/their partners had lost consciousness as a result of chemsex. Those engaging in chemsex were more likely to have had more sexual partners(p<0.001), more partners for anal intercourse (p<0.001) and to have had condomless anal intercourse(p=0.041). They were also more likely to report having been treated for gonorrhoea over the previous 12 months (adjusted OR 2.03, 95% CI 1.19–3.46, p=0.009). One in four (25%) reported that chemsex was impacting negatively on their lives and almost one third (31%) reported that they would like help or advice about chemsex.
These results support international evidence of a chemsex culture among a subset of MSM. They will be used to develop an effective response which simultaneously addresses addiction and sexual ill-health among MSM who experience harm/seek help as a consequence of engagement in chemsex.</description><subject>Addictions</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anal intercourse</subject><subject>Chemsex</subject><subject>Consciousness</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>Drug abuse</subject><subject>Drug policy</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Gonorrhea</subject><subject>Gonorrhoea</subject><subject>HIV</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Human immunodeficiency virus – HIV</subject><subject>Humans</subject><subject>Ireland - epidemiology</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Men who have sex with men</subject><subject>Men who have sex with men – MSM</subject><subject>Prevalence</subject><subject>Questionnaires</subject><subject>Response rates</subject><subject>Risk behavior</subject><subject>Risk-Taking</subject><subject>Sexual and Gender Minorities - statistics & numerical data</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexual health</subject><subject>Sexual Partners</subject><subject>Sexuality</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually transmitted infections</subject><subject>Social networks</subject><subject>STD</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>Unsafe Sex - statistics & numerical data</subject><subject>Young Adult</subject><issn>0955-3959</issn><issn>1873-4758</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNp9kUtv1DAUhS1ERYfCP0DIEhsWzdTP2N4gVcOrUqVuYG058U3HQ2IPdtLSf4-HKSxYdGXp-Dv3Xp2D0BtK1pTQ9mK39nm53ac1I1RVaU2IfoZWVCveCCX1c7QiRsqGG2lO0ctSdoQQQQV9gU6ZYYyrlq5Q2mxhKvDrHOdQfuAOtu4upCUX7KLH9WNx4_iA5-ximcI8g8chDtDPIcXKTCne4gkivt8mXK1wsOD7MG__qCHij0s3hniOrzKMdeQrdDK4scDrx_cMff_86dvma3N98-Vqc3nd9NyQuVHeKK5My_zQCdkRcEIzSaTnApg0TslWG9ENrWfeU2C6JYMhjnGnNNFc8jP0_jh3n9PPBcpsp1B6GOsNkJZiqVFSmpZyXdF3_6G7GkCs11lGJOdECiUqJY5Un1MpGQa7z2Fy-cFSYg-F2J09FmIPhRzUWki1vX0cvnQT-H-mvw1U4MMRgJrGXYBsSx8g9uBDrjFbn8LTG34Dr8-dlg</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Glynn, Ronan W.</creator><creator>Byrne, Niamh</creator><creator>O’Dea, Siobhan</creator><creator>Shanley, Adam</creator><creator>Codd, Mary</creator><creator>Keenan, Eamon</creator><creator>Ward, Mary</creator><creator>Igoe, Derval</creator><creator>Clarke, Susan</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>8BJ</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope></search><sort><creationdate>201802</creationdate><title>Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland</title><author>Glynn, Ronan W. ; Byrne, Niamh ; O’Dea, Siobhan ; Shanley, Adam ; Codd, Mary ; Keenan, Eamon ; Ward, Mary ; Igoe, Derval ; Clarke, Susan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-7d9737962dfb45b0ea482505d34e259a756894bf6d2dd1e2860f90a23a7808353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Addictions</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anal intercourse</topic><topic>Chemsex</topic><topic>Consciousness</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>Drug abuse</topic><topic>Drug policy</topic><topic>Drug use</topic><topic>Drugs</topic><topic>Gonorrhea</topic><topic>Gonorrhoea</topic><topic>HIV</topic><topic>Homosexuality</topic><topic>Homosexuality, Male - statistics & numerical data</topic><topic>Human immunodeficiency virus</topic><topic>Human immunodeficiency virus – HIV</topic><topic>Humans</topic><topic>Ireland - epidemiology</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Men who have sex with men</topic><topic>Men who have sex with men – MSM</topic><topic>Prevalence</topic><topic>Questionnaires</topic><topic>Response rates</topic><topic>Risk behavior</topic><topic>Risk-Taking</topic><topic>Sexual and Gender Minorities - statistics & numerical data</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Sexual health</topic><topic>Sexual Partners</topic><topic>Sexuality</topic><topic>Sexually transmitted diseases</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>Sexually transmitted infections</topic><topic>Social networks</topic><topic>STD</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Surveys and Questionnaires</topic><topic>Unsafe Sex - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Glynn, Ronan W.</creatorcontrib><creatorcontrib>Byrne, Niamh</creatorcontrib><creatorcontrib>O’Dea, Siobhan</creatorcontrib><creatorcontrib>Shanley, Adam</creatorcontrib><creatorcontrib>Codd, Mary</creatorcontrib><creatorcontrib>Keenan, Eamon</creatorcontrib><creatorcontrib>Ward, Mary</creatorcontrib><creatorcontrib>Igoe, Derval</creatorcontrib><creatorcontrib>Clarke, Susan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of drug policy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Glynn, Ronan W.</au><au>Byrne, Niamh</au><au>O’Dea, Siobhan</au><au>Shanley, Adam</au><au>Codd, Mary</au><au>Keenan, Eamon</au><au>Ward, Mary</au><au>Igoe, Derval</au><au>Clarke, Susan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland</atitle><jtitle>The International journal of drug policy</jtitle><addtitle>Int J Drug Policy</addtitle><date>2018-02</date><risdate>2018</risdate><volume>52</volume><spage>9</spage><epage>15</epage><pages>9-15</pages><issn>0955-3959</issn><eissn>1873-4758</eissn><abstract>Drug use for or during sex (‘chemsex’) among MSM has caused concern, because of the direct effects of the drugs themselves, and because of an increased risk of transmission of sexually transmitted infections (STIs). This study aimed to assess the prevalence of chemsex, associated behaviours and STIs among attendees at Ireland’s only MSM-specific sexual health clinic in Dublin over a six week period in 2016.
The questionnaire collected demographic data, information on sexuality and sexual practice, self-reported history of treatment for STIs, and chemsex use. Key variables independently associated with treatment for STIs over the previous 12 months were identified using multivariable logistic regression.
The response rate was 90% (510/568). One in four (27%) reported engaging in chemsex within the previous 12 months. Half had taken ≥2 drugs on his last chemsex occasion. One in five (23%) reported that they/their partners had lost consciousness as a result of chemsex. Those engaging in chemsex were more likely to have had more sexual partners(p<0.001), more partners for anal intercourse (p<0.001) and to have had condomless anal intercourse(p=0.041). They were also more likely to report having been treated for gonorrhoea over the previous 12 months (adjusted OR 2.03, 95% CI 1.19–3.46, p=0.009). One in four (25%) reported that chemsex was impacting negatively on their lives and almost one third (31%) reported that they would like help or advice about chemsex.
These results support international evidence of a chemsex culture among a subset of MSM. They will be used to develop an effective response which simultaneously addresses addiction and sexual ill-health among MSM who experience harm/seek help as a consequence of engagement in chemsex.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29223761</pmid><doi>10.1016/j.drugpo.2017.10.008</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0955-3959 |
ispartof | The International journal of drug policy, 2018-02, Vol.52, p.9-15 |
issn | 0955-3959 1873-4758 |
language | eng |
recordid | cdi_proquest_miscellaneous_1975596138 |
source | MEDLINE; PAIS Index; Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier) |
subjects | Addictions Adolescent Adult Anal intercourse Chemsex Consciousness Data analysis Data collection Drug abuse Drug policy Drug use Drugs Gonorrhea Gonorrhoea HIV Homosexuality Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Human immunodeficiency virus – HIV Humans Ireland - epidemiology Logistic Models Male Men who have sex with men Men who have sex with men – MSM Prevalence Questionnaires Response rates Risk behavior Risk-Taking Sexual and Gender Minorities - statistics & numerical data Sexual behavior Sexual Behavior - statistics & numerical data Sexual health Sexual Partners Sexuality Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Sexually transmitted infections Social networks STD Substance-Related Disorders - epidemiology Surveys and Questionnaires Unsafe Sex - statistics & numerical data Young Adult |
title | Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-12T02%3A55%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Chemsex,%20risk%20behaviours%20and%20sexually%20transmitted%20infections%20among%20men%20who%20have%20sex%20with%20men%20in%20Dublin,%20Ireland&rft.jtitle=The%20International%20journal%20of%20drug%20policy&rft.au=Glynn,%20Ronan%20W.&rft.date=2018-02&rft.volume=52&rft.spage=9&rft.epage=15&rft.pages=9-15&rft.issn=0955-3959&rft.eissn=1873-4758&rft_id=info:doi/10.1016/j.drugpo.2017.10.008&rft_dat=%3Cproquest_cross%3E1975596138%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2053305474&rft_id=info:pmid/29223761&rft_els_id=S0955395917303286&rfr_iscdi=true |